Enteral nutrition in esophageal cancer patients treated with radiotherapy: a Chinese expert consensus 2018

Author:

Lyu Jiahua1,Li Tao1,Xie Conghua2,Li Jie3,Xing Ligang4,Zhang Xiaozhi5,Shen Liangfang6,Zhao Kuaile7,Zhao Ren8,Yang Daoke9,Li Xia10,Zhu Shuchai11,Sun Wei12,Shi Hanping13,

Affiliation:

1. Sichuan Cancer Hospital Institute/Sichuan Cancer Center/School of Medicine, University of Electronic Science & Technology of China, Chengdu 610041, PR China

2. Zhongnan Hospital of Wuhan University, Wuhan 430071, PR China

3. Shanxi Medical University Affiliated Tumor Hospital, Shanxi Cancer Hospital, Taiyuan 030013, PR China

4. Shandong Cancer Hospital Affiliated to Shandong University, Jinan 250117, PR China

5. The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an 710061, PR China

6. Xiangya Hospital Central South University, Changsha 410008, PR China

7. Fudan University Shanghai Cancer Center, Shanghai 200032, PR China

8. General Hospital of Ningxia Medical University, Yinchuan 750004, PR China

9. The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, PR China

10. Liaoning Cancer Hospital, Cancer Hospital of China Medical University, Shenyang 110042, PR China

11. Fourth Hospital of Hebei Medical University, Shijiazhuang 050010, PR China

12. The Affiliated Tumor Hospital of Xinjiang Medical University, Urumqi 830054, PR China

13. Capital Medical University Affiliated Beijing Shijitan Hospital, Beijing 100038, PR China

Abstract

Esophageal cancer (EC) patients receiving radiotherapy are at a high risk of malnutrition, which can increase the side effects of radiotherapy, reduce the accuracy and sensitivity of radiotherapy and decrease treatment effect. Therefore, timely and correct nutritional treatment is crucial. To date, however, neither consensus nor guidelines on enteral nutrition (EN) specifically for EC patients receiving radiotherapy exist. Accordingly, an expert consensus conference was held to establish consensus on the use of EN in EC patients receiving radiotherapy. It reflected the opinions of a multidisciplinary group of experts and a review of the current literature, and established common guidelines for nutritional screening and assessment, nutrition counseling, indication for EN, access and formulas of EN, effect evaluation, nutrition plan adjustment, and home enteral nutrition.

Publisher

Future Medicine Ltd

Subject

Cancer Research,Oncology,General Medicine

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